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Search › Michigan › 103T00000X

Madison Kanka

NPI 1891276531 · on the registry since 2018

Practice

Address
43996 Woodward Ave Ste 10
Bloomfield Hills, MI 48302
Phone
(586) 413-4441
Fax
(248) 309-3198
Organisation at this address
Bart Anthony Pc
Bart Anthony Pc
Total Temple Llc
Counseling Centre
Gnb Optical Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan